front 1 Healthy People 2020is a guidepost for nurses and interdisciplinary teams in community and public health. Which new focal areas will the nurse discover has been added to the 2020 goals? (Select all that apply.) | back 1
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front 2 The nurse has determined the specific indicators and focal areas that are needed to establish immunization and well-child clinics in a low-income neighborhood. What actions should the nurse prioritize to meet the health outcomes of the project? | back 2
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front 3 Absenteeism due to illness has increased recently in the local middle school. The increase is noted to be related to exacerbation of asthma symptoms in the student population. Which would be the most effective approach in decreasing absenteeism among this population? | back 3
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front 4 The local clinic is dedicated to the well adult and child. It has evening hours and offers varied programs for the community. The programs include immunizations and classes on fire safety, health education, and car safety, to name a few. How would the nurse best explain the level of prevention used in this setting to your colleagues? | back 4
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front 5 The nurse works in a facility that provides hospice care for clients with cancer diagnoses. The nurse recognizes that the care provided in this facility is tertiary in nature. When developing the care plan for these individuals, which functions should the nurse prioritize? (Select all that apply. | back 5
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front 6 The nurse decided to use a learning model based on Skinner with a client with diabetes to improve compliance with dietary and blood glucose assessment requirements. Which would be the bestway to implement this program? | back 6 Positive reinforcement- give rewards for low blood sugars and eating healthy |
front 7 The nurse decides to use the health belief model for a wellness walking program for older adults. The walk is to begin each day at 8 PM. Each day a different participant is to start a chain of phone calls to other participants to remind all to attend. The nurse informs the clients in the clinic that walking will improve their overall health and well-being. Two older adults show up the first night and none the second. Which information should the nurse gather to explain the failure of the program? (Select all that apply.) | back 7
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front 8 A 47-year-old client and three members of his neighborhood have had their homes robbed and belongings scattered. The client contacts the police and, with their assistance, develops a neighborhood watch. The watch is organized, and 24 families have been recruited to participate. The watch will be active throughout vacation months and as needed. Which model will this organization be mostutilizing in this process? | back 8
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front 9 1The nurse is analyzing an epidemiologic study conducted on the occurrence of Zika virus cases in his state. While evaluating the information, which option is the best interpretation of “rate”? | back 9
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front 10 In researching cases of West Nile virus in the community, the nurse explores how the interactions among people infected with this virus, mosquitoes, and the environment they share contribute to outbreaks of this disease. Which epidemiologic model is the nurse prioritizing in this case? | back 10
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front 11 3The nurse explores all of the possible factors that contribute to coronary artery disease in the community as links in multiple interrelated chains. Which epidemiologic models is the nurse utilizing in this case? | back 11
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front 12 The nurse is appraising new epidemiologic research concerning the reported cases of measles over the past 5 years. Which is the best explanation for the nurse to apply to “risk factor” when analyzing this research? | back 12
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front 13 The nurse has been requested to investigate the outbreak of H1N1 in the community. In documenting the outbreak, which should the nurse prioritize in its description? Select all that apply. | back 13
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front 14 In researching an outbreak of malaria in the developing nation where the nurse currently works, the nurse decides not to focus on the role of mosquitoes in transmitting the disease but on how the physical environment of the community, biologic aspects of the community, and social customs interact to affect the prevalence of this disease. Which epidemiologic model is the nurse utilizing? | back 14
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front 15 A public health nurse is curious if there has been an increase in the need for hospitalization among reported influenza cases. Which factor should the nurse prioritize for researching to answer this query? | back 15
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front 16 A nurse is concerned there has been an increase in the number of influenza cases in the county over the past year when compared with last year. Which rate will best provide the answer to this nurse? | back 16
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front 17 A nursing student is examining an epidemiologic report for a class project. Which explanation should the student conclude will best define sensitivity? | back 17 Ability of a test to correctly identify people who have a health problem or probability of the test being positive and the person having the disease |
front 18 The nurse wishes to calculate the probability of persons in the county developing chronic obstructive pulmonary disease over the course of a year. Which measure will be best for the nurse to utilize? | back 18
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front 19 The nurse is maintaining a graph which depicts the distribution of influenza cases by the time of onset of influenza | back 19
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front 20 Spatial map | back 20
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front 21 Incidence rate | back 21
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front 22 Sensitivity | back 22
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front 23 Prevalence | back 23
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front 24 Attack rate | back 24
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front 25 The nurse works with a female client who recently developed an infection of Staphylococcus aureuswhile in the hospital. The nurse would determine that S. aureusis which component in the chain of infection? | back 25 Agent |
front 26 A student nurse asks if an infectious disease is the same thing as a communicable disease. The nurse explains that an infectious disease is not necessarily a communicable disease. Which factor could the nurse point out that a communicable disease must have that an infectious disease would not have to have? (Select all that apply.) | back 26
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front 27 The school nurse is concerned when a student presents to the office with chickenpox. The nurse determines that some of this student's classmates are most likely in which part of the infectious cycle? | back 27 Incubation period |
front 28 The nurse notes a client arrives for an appointment who appears to have a severe upper respiratory infection. Which mechanism of transmission is the nurse most likely attempting to prevent by requesting this client to wear a mask while sitting in the waiting room? | back 28
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front 29 Several levels of public health surveillance are necessary to protect the nation's health. At what level are healthcare providers and health facilities required to report certain infectious diseases? | back 29 State |
front 30 Chain of infection | back 30
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front 31 Defense mechanisms (kinds of immunity) Active | back 31 live or dead exposure to a pathogen, takes longer to build but last |
front 32 Defense mechanisms (kinds of immunity) Passive | back 32
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front 33 Defense mechanisms (kinds of immunity)Acquired | back 33 - defense built with exposure |
front 34 Defense mechanisms (kinds of immunity) Natural | back 34 develops on own |
front 35 Defense mechanisms (kinds of immunity) Herd | back 35
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front 36 SC reportable diseases (immediate list) | back 36
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front 37 Endemic | back 37
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front 38 Epidemic | back 38
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front 39 Outbreak | back 39
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front 40 Pandemic | back 40
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front 41 Modes of transmission- Airborne | back 41
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front 42 Modes of transmission- Droplet | back 42
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front 43 Modes of transmission- direct contact | back 43
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front 44 Modes of transmission- indirect contact | back 44 involves an inanimate object or vector |
front 45 Vector | back 45 transmission occurs through carrier |
front 46 Portal of entry and exit | back 46
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front 47 A man who lives in a homeless shelter is diagnosed with active tuberculosis (TB). The shelter keeps a list of those who are assigned beds, and the majority of those sleeping there are regulars. Which finding would indicate a positive tuberculin skin test result using a two-step process? | back 47 6mm induration |
front 48 A 16-year-old client visits the community health clinic with concerns that she may have a STI. She asks whether STIs are treatable. Which STIs should the nurse point out are easily treated and curable? (Select all that apply.) | back 48
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front 49 The school nurse is preparing for a health class discussion covering the basics of sexually transmitted infections (STIs). Which factors should the nurse point out will place an individual at high risk for acquiring a STI? (Select all that apply.) | back 49
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front 50 What are the clinical manifestations of TB? | back 50
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front 51 What are the clinical manifestations of Syphilis? | back 51
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front 52 What are the clinical manifestations of Chlamydia? | back 52 Intermenstrual bleeding, cervical discharge, rectal discharge, cervical tenderness, dysuria |
front 53 What are the clinical manifestations of Gonorrhea? | back 53
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front 54 What are the clinical manifestations of HPV? | back 54 warts |
front 55 What are the clinical manifestations of HSV? | back 55
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front 56 Identify the kinds of abuse (select all that apply) | back 56
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front 57 What are the strategies to reduce societal violence: primary, secondary, tertiary (select all that apply) | back 57
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front 58 The nurse is evaluating a young mother who believes she may be pregnant again. Which relationship factor discovered by the nurse should raise suspicions that this family is at risk for intimate partner violence? | back 58
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front 59 Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: | back 59
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front 60 Pediatric providers face special issues in screening for intimate partner violence (IPV) in a caregiver who is accompanying a child. Which strategies should the healthcare providers prioritize for addressing this screening issue? (Select all that apply.) | back 60
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front 61 Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is an appropriate tertiary prevention strategy? | back 61
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front 62 The public health nurse is conducting a routine well-child visit. Which statements should raise concern with the nurse in regards for the safety of children? (Select all that apply.) | back 62
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front 63 The nurse is completing a screening of a suspected case of child abuse. Which instance would the nurse considered child abuse and neglect and report? Select all that apply | back 63
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front 64 1 The nurse works with a 16-year-old client who has an alcohol use disorder. Which mental disorder, highly correlated to substance use disorder, should the nurse also assess for in this client? (Select all that apply.) | back 64
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front 65 A client arrives at the clinic shaky and requesting a refill on a prescription for alprazolam. The nurse suspects that the client might be experiencing substance withdrawal. Which comment by the client would mosttend to confirm the nurse's suspicion? | back 65
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front 66 The community health nurse is concerned with the prevalence of new HIV infections in the community and understands the strong correlation between substance use disorders and HIV. Which interventions should the nurse promote in the community health clinic to bestaddress this problem? (Select all that apply.) | back 66
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front 67 The nurse works in the ER when a client arrives with respiratory depression associated with a heroin overdose. Which medication should the nurse predict to be ordered for this client? | back 67
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front 68 The public health nurse is evaluating the community in the effort to determine the underserved members with the goal of decreasing their risk for health problems. Which factors should the nurse evaluate to determine who belongs to this group? (Select all that apply.) | back 68
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front 69 Dependence | back 69
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front 70 Denial | back 70
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front 71 Comorbidities and associated or coexisting health problems | back 71
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front 72 General physical appearance of substance use | back 72
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front 73 Strategies to reduce substance disorders | back 73
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front 74 A nurse is assessing a client who was recently released from prison. Which crime would the nurse mostsuspect that the client may have committed? | back 74
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front 75 The nurse works at a clinic in Arizona that provides bilingual (English and Spanish) care to low-income immigrant workers from Mexico. Which designation mostaccurately describes the area or the population this nurse serves? | back 75
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front 76 Medically underserved area | back 76
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front 77 Medically underserved population | back 77
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front 78 Vulnerability- | back 78
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front 79 Underserved- | back 79
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front 80 What are the common health problems for migrant workers? | back 80
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front 81 Migrant workers- prevention | back 81
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front 82 What are the common health problems for veterans? | back 82
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front 83 Veteran prevention | back 83
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front 84 What are the common health problems for Refugees? | back 84
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front 85 Refugee prevention | back 85
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front 86 What are the common health problems for pregnant adolescents? | back 86
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front 87 Pregnant adolescence prevention | back 87
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front 88 What are the common health problems for prison population? | back 88
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front 89 Prison population prevention | back 89
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front 90 What are the common health problems for LGBTQQA? | back 90
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front 91 LGBTQQA prevention | back 91
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front 92 Ebola | back 92 Symptoms- hemorrhage, NVD, shock, fever, headache, muscle ache PPE- contact and droplet isolation |
front 93 Biological agents-plague | back 93 Symptoms- fever, chills, weakness, tender lymphnodes PPE- droplet and contact |
front 94 Tularemia | back 94 Symptoms- sudden fever, chills, headache, diarrhea, muscle aches, progressive weakness, septic infection and pneumonia |
front 95 Smallpox | back 95 Symptoms- high fever, fatigue, rash begins on face and tongue but quickly speads to trunk, arms, legs, hands and feet, then turn to pus filled lescions Onset- rash appears 2-4 days after fever PPE- contact and airborne |
front 96 Botulism | back 96 Symptoms- double blurred vision, slurred speech, difficulty swallowing, progressive muscle weakness, difficulty breathing |
front 97 inhalation anthrax | back 97 Symptoms- headache, fever, chills, muscle aches, chest discomfort, dyspnea, shock PPE- airborne |
front 98 Early 20th century leading cause of death | back 98 Respiratory diseases (TB) |
front 99 Leading cause of death in children and second leading cause of death overall | back 99 Infectious diseases |